SearchMissouri1223G0001X

Jacksie Short, DMD

NPI 1790207546 · on the registry since 2017

Practice

Address
2819 E 29th St
Joplin, MO 64804
Phone
(417) 781-5530
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri